JAMES N CAVALLARO Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002024

License Status

INACTIVE

Business

First Name

JAMES

Middle

Last Name

CAVALLARO

Business Name

JAMES N CAVALLARO

Original Issue Date

07/03/2003

Effective Date

07/03/2003

Expiration Date

03/01/2004

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006